
<style>
.select2-dropdown {
	z-index: 20000000;
}

.body_container {
	padding: 0 10px 0 20px;
	overflow: auto;
}
</style>
{{# var dd = d.pdata; var Rvaa12 =dd.vaa12?moment(dd.vaa12).format("YYYY-MM-DD HH:mm:ss"):''; var Rvac41 =dd.vac41?moment(dd.vac41).format("YYYY-MM-DD HH:mm:ss"):''; var Rvaa57 =dd.vaa57?moment(dd.vaa57).format("YYYY-MM-DD HH:mm:ss"):''; }}
<div class="layer_container">
	<div class="body_container">
		<div class="layer_content">
			<form id="edit_patient_form_info">
				<div id="allfield">
					<div class="geren-info">
						<div class="info-title-container">
							<div class="info-title">个人信息</div>
							<div class="info-line">
								<hr>
							</div>
						</div>
						<div class="hospital-info-content form-inline">
							<div class="info-group info-group-horizontal">
								<ul class="info-group-list list-unstyled">
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>门诊号</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa03" name="vaa03" value="{{dd.vaa03?dd.vaa03:''}}" readonly="readonly"/>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required">
												<strong>*</strong>
											</span>
											<span>姓名</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa05" name="vaa05" value="{{dd.vaa05?dd.vaa05:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required">
												<strong>*</strong>
											</span>
											<span>性别</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group radioabw01">
													{{# if(dd.abw01 =="1"){ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_abw01_1' name='abw01' value="1" checked>
														<span>男</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_abw01_2' name='abw01' value="2">
														<span>女</span>
													</label>
													{{# } else{ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_abw01_1' name='abw01' value="1">
														<span>男</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_abw01_2' name='abw01' value="2" checked>
														<span>女</span>
													</label>
													{{# } }}
													<input type='hidden' id='p_abw01' name='abw01'>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>身份证号</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa15" name="vaa15" value="{{dd.vaa15?dd.vaa15:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>出生日期</span>
										</div>
										<div class="info-group-item-input">
											<input type="text" id="p_vaa12" name="vaa12" class="layer-date laydate-icon keycontrol" 
											onclick="laydate({istime: true, format: 'YYYY-MM-DD hh:mm:ss',choose:function(datas){yearDef('p_vaa10','p_vaa12','p_aau01')}})">
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required">
												<strong>*</strong>
											</span>
											<span>年龄</span>
										</div>
										<div class="info-group-item-input">
										<div class="input-group">
											<input class="form-input keycontrol" type="text" id="p_vaa10" name="vaa10" value="{{dd.vaa10?dd.vaa10:''}}"  onkeyup="this.value=this.value.replace(/\D/g,'')"/>
											<div class="input-group-btn">
												<select name="aau01" id="p_aau01" class="input-group-addon" style="width: 60px;border-right: 1px solid #d8d8d8; padding: 3px 12px;">
													<option value="Y">岁</option>
													<option value="M">月</option>
													<option value="D">天</option>
												</select>
											</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464 hidden">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>病人费别</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input no-delete" type="text" id="p_abc02" name="abc02" value="{{dd.abc02?dd.abc02:''}}" readonly="readonly"/>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>保险号</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input no-delete" type="text" id="p_vaa18" name="vaa18" value="{{dd.vaa18?dd.vaa18:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>电脑号</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa17" name="vaa17" value="{{dd.vaa17?dd.vaa17:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>险种名称</span>
										</div>
										<div class="info-group-item-input">
											<select name='vaa19' id='p_vaa19'  class="keycontrol" onchange="changeleibie1()">{{d.xianzhongmingc}}</select>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>病人类别</span>
										</div>
										<div class="info-group-item-input">
											<select id="p_bdp02" name="bdp02" onchange="loadabc021(this)"  class="keycontrol">{{d.bingrenleibie}}
											</select>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>国籍</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group">
													<select id="p_acc02" name="acc02" class="keycontrol"> {{d.guoji}}
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>民族</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group">
													<select id="p_abq02" name="abq02" class="keycontrol"> {{d.minzu}}
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>信用额度</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_bep06b" name="bep06b" value="{{dd.bep06b?dd.bep06b:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>籍贯</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa25" name="vaa25" value="{{dd.vaa25?dd.vaa25:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>了解途径</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group">
													<select id="p_bdx02" name="bdx02" class="keycontrol"> {{d.liaojietujing}}
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>身高</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac62" name="vac62" value="{{dd.vac62?dd.vac62:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>体重</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac63" name="vac63" value="{{dd.vac63?dd.vac63:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>职业</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group">
													<select id="p_vac16" name="vac16" class="keycontrol"> {{d.zhiye}}
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>婚姻状况 </span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group">
													<select id="p_ack01" name="ack01" class="keycontrol"> {{d.hunyinzhuangkuang}}
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>生育情况</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input hidden" type="text" name="vcj15" value="0" />
											<input class="form-input keycontrol" type="text" id="p_vcj16" name="vcj16" value="{{dd.vcj16?dd.vcj16:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>文化程度</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group">
													<select id="p_vaa38" name="vaa38" class="keycontrol"> {{d.xueli}}
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>移动电话</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa35" name="vaa35" value="{{dd.vaa35?dd.vaa35:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>联系电话</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa34" name="vaa34" value="{{dd.vaa34?dd.vaa34:''}}" />
										</div>
									</li>
									
								</ul>
							</div>
						</div>
					</div>
					<div class="danwei-info may-hidden-ele">
						<div class="info-title-container">
							<div class="info-title">单位信息</div>
							<div class="info-line">
								<hr>
							</div>
						</div>
						<div class="hospital-info-content form-inline">
							<div class="info-group info-group-horizontal">
								<ul class="info-group-list list-unstyled">
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>单位名称 </span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac27" name="vac27" value="{{dd.vac27?dd.vac27:''}}" />
										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>单位电话</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac28" name="vac28" value="{{dd.vac28?dd.vac28:''}}" />
										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>单位地址</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac29" name="vac29" value="{{dd.vac29?dd.vac29:''}}" />
										</div>
									</li>
								</ul>
							</div>
						</div>
					</div>
					<div class="qita-info may-hidden-ele">
						<div class="info-title-container">
							<div class="info-title">其他信息</div>
							<div class="info-line">
								<hr>
							</div>
						</div>
						<div class="hospital-info-content form-inline">
							<div class="info-group info-group-horizontal">
								<ul class="info-group-list list-unstyled">
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>家庭地址 </span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac19" name="vac19" value="{{dd.vac19?dd.vac19:''}}" />
										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>主治区划代码</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj18" name="vcj18" value="{{dd.vcj18?dd.vcj18:''}}" />
										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>出生地</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj19" name="vcj19" value="{{dd.vcj19?dd.vcj19:''}}" />
										</div>
									</li>
								</ul>
							</div>
						</div>
					</div>
					<div class="lianxiren-info may-hidden-ele">
						<div class="info-title-container">
							<div class="info-title">联系人信息</div>
							<div class="info-line">
								<hr>
							</div>
						</div>
						<div class="hospital-info-content form-inline">
							<div class="info-group info-group-horizontal" style="margin-bottom: 5px;">
								<ul class="info-group-list list-unstyled">
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>联系人 </span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac21" name="vac21" value="{{dd.vaa40?dd.vaa40:dd.vac21}}" />
										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>联系人关系 </span>
										</div>
										<div class="info-group-item-input">
											<select id="p_aaz02" name="aaz02" class="keycontrol"> {{d.lianxirguanxi}}
											</select>

										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>联系人电话</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac24" name="vac24" value="{{dd.vaa43?dd.vaa43:dd.vac24}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>联系人地址</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac23" name="vac23" value="{{dd.vaa42?dd.vaa42:dd.vac23}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>联系人邮编</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa44" name="vaa44" value="{{dd.vaa44?dd.vaa44:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>监护人</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vaa39" name="vaa39" value="{{dd.vaa39?dd.vaa39:''}}" />
										</div>
									</li>
								</ul>
							</div>
						</div>
					</div>
					<div class="show_btn">
						<div class="info-title-container">
							<div class="pull-right">
								<button class="btn btn-main btn-min" type="button" onclick="showOrHideMore(this);">
									<span>收起更多</span>
								</button>
							</div>
						</div>
					</div>
					<div class="zaiyuan-info">
						<div class="info-title-container">
							<div class="info-title">在院信息</div>
							<div class="info-line">
								<hr>
							</div>
						</div>
						<div class="hospital-info-content form-inline">
							<div class="info-group info-group-horizontal">
								<ul class="info-group-list list-unstyled">
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>疾病分类 </span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group">
													<select id="bak05" name="bak05" class="keycontrol"> {{d.jibingfenlei}}
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>复诊</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group radiovac06">
													{{# if(dd.vac06 =="1"){ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_vac06_1' name='vac06' value="1" checked>
														<span>是</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_vac06_2' name='vac06' value="0">
														<span>否</span>
													</label>
													{{# } else{ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_vac06_1' name='vac06' value="1">
														<span>是</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_vac06_2' name='vac06' value="0" checked>
														<span>否</span>
													</label>
													{{# } }}
													<input type='hidden' id='p_vac06' name='vac06'>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>建议手术</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group radiovcj20">
													{{# if(dd.vcj20 =="1"){ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_vcj20_1' name='vcj20' value="1" checked>
														<span>是</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_vcj20_2' name='vcj20' value="0">
														<span>否</span>
													</label>
													{{# } else{ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_vcj20_1' name='vcj20' value="1">
														<span>是</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_vcj20_2' name='vcj20' value="0" checked>
														<span>否</span>
													</label>
													{{# } }}
													<input type='hidden' id='p_vcj20' name='vcj20'>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>传染病上传</span>
										</div>
										<div class="info-group-item-input">
											<div class="form-group">
												<div class="input-group radiovac40">
													{{# if(dd.vac40 =="1"){ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_vac40_1' name='vac40' value="1" checked>
														<span>是</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_vac40_2' name='vac40' value="0">
														<span>否</span>
													</label>
													{{# } else{ }}
													<label class="radio-inline ">
														<input type='radio' class="magic-radio keycontrol" id='p_vac40_1' name='vac40' value="1">
														<span>是</span>
													</label>
													<label class="radio-inline">
														<input type='radio' class="magic-radio keycontrol" id='p_vac40_2' name='vac40' value="0" checked>
														<span>否</span>
													</label>
													{{# } }}
													<input type='hidden' id='p_vac40' name='vac40'>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>发病时间</span>
										</div>
										<div class="info-group-item-input">
											<input type="text" id="p_vac41" name="vac41" class="layer-date laydate-icon keycontrol" value="{{Rvac41}}" onclick="laydate({istime: true, format: 'YYYY-MM-DD hh:mm:ss'})">
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>发病地点</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_adx01" name="adx01" value="{{dd.adx01?dd.adx01:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>首诊时间</span>
										</div>
										<div class="info-group-item-input">
											<input type="text" id="p_vaa57" name="vaa57" class="layer-date laydate-icon keycontrol" value="{{Rvaa57}}" onclick="laydate({istime: true, format: 'YYYY-MM-DD hh:mm:ss'})">
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>体温</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj02" name="vcj02" value="{{dd.vcj02?dd.vcj02:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>脉搏</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj03" name="vcj03" value="{{dd.vcj03?dd.vcj03:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>收缩压</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj04" name="vcj04" value="{{dd.vcj04?dd.vcj04:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>舒张压</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj05" name="vcj05" value="{{dd.vcj05?dd.vcj05:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>呼吸</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj07" name="vcj07" value="{{dd.vcj07?dd.vcj07:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>血氧饱和度</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj06" name="vcj06" value="{{dd.vcj06?dd.vcj06:''}}" />
										</div>
									</li>
									<li class="info-group-item ">
										<div class="info-group-item-title">
											<span class="info-required "></span>
											<span>血糖</span>
										</div>
										<div class="info-group-item-input">
											<div class="input-group">
												<input class="form-input keycontrol" id="vcj20_p" name=""    />
												<input type="hidden" id="vcj20_1" name="vcj20">
												<div class="input-group-btn">
													<select name="" id="vcj20_s" class="input-group-addon">
														<option value="1">空腹</option>
														<option value="2">餐后</option>
														<option value="3">随机</option>
													</select>
												</div>
											</div>
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>就诊症状体征</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vcj08" name="vcj08" value="{{dd.vcj08?dd.vcj08:''}}" />
										</div>
									</li>
									<li class="info-group-item 10010400464">
										<div class="info-group-item-title">
											<span class="info-required"></span>
											<span>就诊摘要</span>
										</div>
										<div class="info-group-item-input">
											<input class="form-input keycontrol" type="text" id="p_vac46" name="vac46" value="{{dd.vac46?dd.vac46:''}}" />
										</div>
									</li>
									<input type="hidden" value="" name="bce01" id="p_bce01" />
									<input type="hidden" value="" name="bce03" id="p_bce03" />
									<input type="hidden" value="" name="bck01" id="p_bck01" />
									<input type="hidden" value="" name="bck03" id="p_bck03" />
									<input type="hidden" value="" name="vac01" id="p_vac01" />
									<input type="hidden" value="" name="vaa01" id="p_vaa01" />
								</ul>
							</div>
						</div>
					</div>
				</div>
			</form>
		</div>
	</div>
	{{# if(d.footer != 'no') { }}
	<div class="footer_container">
		<button class="btn btn-green" id="edit_btn_save" onclick="saveEditPatientInfo();">保存</button>
		<button class="btn btn-white " id="edit_btn_reomve">取消</button>
	</div>
	{{# } }}
</div>
